NUR210CH01

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Author:
TomWruble
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194602
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NUR210CH01
Updated:
2013-03-11 11:02:05
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nur210q1 Mental Health Illness
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Mental Health and Mental Illness
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  1. The quantitative study of the distribution of mental disorders in human populations is called

    A. motality
    B. epidemiology
    C. clinical epidemiology
    D. prevalence
    B. epidemiology

    Epidemiology is the quantitative study of the distribution of mental disorders in human populations. Mortality refers to deaths. Prevalence refers to the proportion of a population who has a mental disorder at a given time. Clinical epidemiology deals with what happens to people with illnesses who are seen by providers of care.Text page: 10
    (this multiple choice question has been scrambled)
  2. What phrase best describes the DSM-IV-TR?

    A. Is a multiaxial psychiatric assessment system
    B. Is a compendium of treatment modalities
    C. Offers a complete list of nursing diagnoses
    D. Suggests common interventions for mental disorders
    A. Is a multiaxial psychiatric assessment system

    The DSM-IV-TR is a classification of mental disorders that includes descriptions of diagnostic categories and uses an axis system to provide a broad range of assessment.Text pages: 12, 13
    (this multiple choice question has been scrambled)
  3. Current information suggests that the most disabling mental disorders are the result of

    A. faulty patterns of early nurturance
    B. learned ways of behaving
    C. biological influences
    D. psychological trauma
    C. biological influences

    The biologically influenced illnesses include schizophrenia, bipolar disorder, major depression, obsessive-compulsive and panic disorders, posttraumatic stress disorder, and autism. Therefore many (but not all) of the most prevalent and disabling mental disorders have been found to have strong biological influences.Text page: 7
    (this multiple choice question has been scrambled)
  4. A nurse's identification badge includes the wording, 'Psychiatric Mental Health Nurse'. A client with a history of paranoia asks, "What does that title mean?" The nurse responds best when answering:

    A. "Don't be afraid, it means I'm here to help not hurt you."
    B. "Psychiatric Mental Health nurses care for people with mental illnesses."
    C. "We have the specialized skills needed to care for those with mental illnesses."
    D. "The nurses who work in mental health facilities have that title."
    C. "We have the specialized skills needed to care for those with mental illnesses."

    A  Psychiatric Mental Health Nurse possesses specialized nursing skills and implements the nursing process to manage and deliver nursing care to the mentally ill.Text page: 17
    (this multiple choice question has been scrambled)
  5. Regarding individuals with mental disorders, distress refers to a painful symptom, and disability refers to 

    A. culturally appropriate responses to an event.
    B. the presence of deviant behavior.
    C. impairment in important areas of functioning.
    D. a conflict between the individual and society
    C. impairment in important areas of functioning.

    Disability refers to impairment in important areas of functioning or a significantly increased risk of death, pain, or an important loss of freedom.Text page: 12
    (this multiple choice question has been scrambled)
  6. While caring for a client who is very ill with a mental disorder, the nurse wonders if the client has always been so regressed or if he has functioned at a higher level in the recent past. The best way to obtain this information would be to 

    A. ask the family.
    B. look at axis V of the client's DSM-IV-TR sheet.
    C. ask the client.
    D. refer to the progress notes.
    B. look at axis V of the client's DSM-IV-TR sheet.

    Axis V is called the Global Assessment of Functioning and gives an indication of the client's best level of psychological, social, and occupational functioning during the preceding year.Text page: 14
    (this multiple choice question has been scrambled)
  7. Which statement about diagnosis of a mental disorder is true? 

    A. All mental disorders listed in the DSM-IV-TR are seen in all other cultures.
    B. The symptoms of each disorder are common among all cultures.
    C. Culture may cause variations in symptoms for each clinical disorder.
    D. Global assessment of functioning is more diagnostic than symptoms noted
    C. Culture may cause variations in symptoms for each clinical disorder.

    Every society has its own view of health and illness and the types of behavior categorized as mental illness. Culture also influences the symptoms of a particular disorder. For example, individuals of certain cultures are more likely to express depression through somatic symptoms than through affect and feeling tone.Text page: 12
    (this multiple choice question has been scrambled)
  8. The prevalence rate over a 12-month period for major depressive disorder is 

    A. greater than the prevalence rate for generalized anxiety
    B. equal to the prevalence rate for psychotic disorders.
    C. lower than the prevalence rate for panic disorders.
    D. greater than the prevalence rate for psychotic disorders.
    A. greater than the prevalence rate for generalized anxiety

    Statistics show that the prevalence rate over a 12-month period for major depressive disorder is 6.7%, and the lifetime prevalence rate for generalized anxiety is 3.1%.Text page: 11, Table 1-1
    (this multiple choice question has been scrambled)
  9. N, a college student, comes to the mental health clinic with symptoms of feeling blue and having occasional difficulty sleeping. He is able to manage his course work with lowered grades but states he just doesn't get as much pleasure from life as he did several months ago. The nurse making his global assessment of functioning would probably assign the rating of 

    A. 70
    B. 100
    C. 10
    D. 40
    A. 70

    A global assessment of functioning in the 70s indicates some mild symptoms are present or some difficulty in social, occupational, or school functioning is present but the individual is functioning well enough to have some meaningful interpersonal relationships.Text page: 15, Box 1-4
    (this multiple choice question has been scrambled)
  10. Mental illnesses recognized across cultures include 

    A. antisocial and borderline personality disorders
    B. bulimia and anorexia nervosa
    C. schizophrenia and bipolar disorder
    D. amok and social phobia
    C. schizophrenia and bipolar disorder

    Worldwide studies indicate that both schizophrenia and bipolar disorder are recognized cross-culturally.Text page: 7
    (this multiple choice question has been scrambled)
  11. Incidence
    newly diagnosed mental disorders in a period of time.
  12. prevalence
    count of new and existing diagnosed mental disorders in a period of time.
  13. epidemiology
    in mental illness it is the quantitative study of the distribution of mental disorders in a human population with an eye toward identifying high-eisk groups and high-risk factors.
  14. Resilience, the capacity to rebound from stressors via adaptive coping, is associated withpositive mental health. Your friend has just been laid off from his job. Which of the followingresponses on your part would most likely contribute to enhanced resilience?

    1. Using your connections to set up an interview with your employer
    2. Connecting him with a friend of the family who owns his own business
    3. Supporting him in arranging, preparing for, and completing multiple interviews
    4. Helping him to understand that the layoff resulted from troubles in the economy and isnot his fault
  15. 2008 % Prevalence
    • 50%  Alzheimer's @ 85+
    • 10%  Alzheimer's @ 65-85
    • 8.7% Specific Phobia
    • 6.8% Social Phobia
    • 6.7% Major Depression
    • 3.5% PTSD
    • 3.1% Generalized Anxiety
    • 2.7% Panic
    • 2.6% Bipolar
    • 1.2% Schizophrenia
    • 1%    Obsessive Compulsive
    • 0.08% Agorophobia

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